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Respiratory examination – OSCE Guide
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| Clinical procedures |

Subcutaneous (SC) injections pierce the epidermisand dermis of the skin to deliver medication to the subcutaneous layer. It is a common route of delivery for medications such as insulin and low molecular weight heparin (LMWH). This guide discusses how to perform subcutaneous injection in an artificial OSCE setting and should not be used as a guide to administering injections to actual patients without first consulting your local medical school orhospital guidelines and undertaking the necessary training. Check out the subcutaneous(SC) injection OSCE mark scheme here.

Subcutaneous (SC) injections Check out the subcutaneous(SC) injection OSCE mark scheme here.
Gather equipment
The 7 rights
Insertion of the needle
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Interactive mark scheme
Mark Scheme (PDF)

Introduce yourself

Wash hands

Confirm the patient’s details

Explain the procedure

Check the patient’s understanding of the medication being given and explain the indication for the medication.

Gain consent to proceed

Check for allergies

Check if the patient has a preferred injection site and if the patient is receiving regular subcutaneousinjections, ensure that the injection sites are rotated.

Equipmenttray The medication to beadministered Patient’s prescription Syringe – Injecting needle – Drawing up needle Blunt filter needle Gauze or cotton swab Sharps container Non-sterile gloves The 7 Rights

Return to the patient. Before proceeding, check the 7 rights of medication administration

1. Right person – check the patient’s wristband against the name on the prescription. Where possible aim to use two identifiers (e.g. from the patient and the wristband)

1. Right person –

2. Right drug – check the labelled drug against the prescription – ensure expiry date is appropriate

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Contents

Detail from an 18th-century engraving showing a girl (left) with a ponytail

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and to the 20th century rarely were seen outside of the boudoir with their hair in such an informal style as a ponytail.

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's white-haired ponytail on a black background.

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